Ten-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: The Innsbruck.

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Presentation transcript:

Ten-year experience with the muscle split technique, bioabsorbable plates, and postoperative bracing for correction of pectus carinatum: The Innsbruck protocol Barbara Del Frari, MD, Anton H. Schwabegger, MD, MSc The Journal of Thoracic and Cardiovascular Surgery Volume 141, Issue 6, Pages 1403-1409 (June 2011) DOI: 10.1016/j.jtcvs.2011.02.026 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A, Preoperative frontal view displaying the pectus carinatum of a 16-year-old patient. B, Right oblique view of the same patient. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Preoperative 3-dimensional volume-rendering mode computed tomography. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Intraoperative view showing the splitting of the muscle along its fibers to expose the deformed rib. The parallel orientation allows longitudinal splitting of muscle for exposure of the rib cartilages without nerve transection. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Subperichondrial resection of the 5th costal cartilage on the left. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Stabilization of the sternum after transverse osteotomy with bioabsorbable plates and screws. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 A, Individually manufactured, custom-made lightweight aluminum keel chest brace with a silicone-covered front on a 15-year-old patient. B, Pressure therapy with the keel chest brace worn by a 19-year-old woman. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 7 A, Frontal view at 3 years postoperatively after correction of the pectus carinatum. B, Right oblique view at 3 years postoperatively. Final result. The Journal of Thoracic and Cardiovascular Surgery 2011 141, 1403-1409DOI: (10.1016/j.jtcvs.2011.02.026) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions